RT Book, Section
A1 Blatnik, Jeffrey A.
A1 Brunt, L. Michael
A2 Zinner, Michael J.
A2 Ashley, Stanley W.
A2 Hines, O. Joe
SR Print(0)
ID 1160039730
T1 Paraesophageal Hernia Repair
T2 Maingot's Abdominal Operations, 13e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9780071843072
LK accesssurgery.mhmedical.com/content.aspx?aid=1160039730
RD 2024/04/19
AB Paraesophageal  hernias  comprise  approximately  5%  to  15%  of  all  hiatal  hernias  and  are  challenging  hernias  to  repair.  Most  commonly,  these  occur  in  patients  age  >50  to  60  years.  The  natural  history  of  paraesophageal  hernia  repair  has  not  been  systematically  studied,  but,  in  general,  many  patients  present  with  a  longstanding  history  of  hiatal  hernia.  Therefore,  it’s  likely  that  these  progressively  enlarge  over  time.  While  they  can  be  asymptomatic,  some  patients  present  with  acute  gastric  outlet  obstruction  and/or  gastric  ischemia  that  requires  emergency  surgical  intervention.  In  this  chapter,  the  clinical  presentation,  diagnostic  evaluation,  and  surgical  technical  aspects  and  resultant  outcomes  of  paraesophageal  hernia  repair  will  be  presented.